Providing information, education, and training to build knowledge, develop skills, and change attitudes that will lead to increased independence, productivity, self determination, integration and inclusion (IPSII) for people with developmental disabilities and their families.

'Choices For Care' Features Alternatives To Nursing
Homes
October 23, 2006

BURLINGTON, VERMONT--Monday's Wall Street
Journal featured an article about Vermont's "Choices for Care" program, which
allows most seniors and people with disabilities that receive Medicaid to use
their benefits for in-home supports rather than nursing homes if they wish.

Medicaid is a healthcare program funded by both the federal government
and state governments. Under most state Medicaid systems, being housed in a
nursing home is considered an entitlement while in-home care is not.

What Vermont has done is turn in-home care into an entitlement, using
that combination of federal and state money to pay caregivers, usually family
members.

The program makes financial sense, say advocates, pointing to figures
from 2002 that showed the average daily cost of a nursing home was $122
compared to just $80 for in-home care.

The program also makes sense for Medicaid recipients because many can
continue to have the kind of quality of life they prefer.

"We are never going to build another nursing home," said Patrick Flood,
commissioner of Vermont's Department of Disabilities, Aging and Independent
Living. "It is an outdated model."

According to the article, Vermont's program is being used as a model
that other states and the federal government are watching and copying. It notes
that the long-term care bias that has favored nursing homes and other
institutions is slowly shifting toward more in-home care alternatives.

The GCDD is funded under the provisions of P.L. 106-402. The federal law also provides funding to the Minnesota Disability Law Center,the state Protection and Advocacy System, and to the Institute on Community Integration, the state University Center for Excellence. The Minnesota network of programs works to increase the IPSII of people with developmental disabilities and families into community life.